LAURIE E CARLSEN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002013

License Status

INACTIVE

Business

First Name

LAURIE E

Last Name

CARLSEN

Business Name

LAURIE E CARLSEN

Original Issue Date

07/11/1973

Effective Date

07/11/1973

Expiration Date

09/30/2002

City

MOUNT MORRIS

State

Zip

61054

County

OGLE

Ever Disciplined

LastModifiedDate

10/17/2005